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813-780-0020 City af Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
<br /> Qate Reesived Phone Cantact#or Perm�tting — ,
<br /> Owner's Name �lC,�.- l�b��hG�d-� Owner Phone Number O�3'` �g�'�b��. '
<br /> Owner's Address �0�33 '��IV��-� pr• Owner Phone Number � �
<br /> Fee Simple Titleholder Name �— � Owner Phone Number �— �
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRE$S Ui`i��J S'�i�e,'1��s t`�r� �}'7 �'l l�IS i t d.. ��✓'�J��.. LOT# L�
<br /> 5UBDIVIS�ON �1 iVpir ��"'t,�S 'f,'1C�S���.. PARCEL ID# ��'�'i-^2{-b�2a'"�dC�— �a�t�
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED M1IEW CONSTR ADDlALT � StGN Q Q DEMOLISH
<br /> INSTALL REPAIR q' (p��,�
<br /> PRQP{}SED USE � SFR Q COMM C� OTHER
<br /> TYPE OF CONSTRUCTION [� BI.00K Q FRAME C� STEEL Q
<br /> DESCRIPTION OF WORK ��� ��'� C'k'�G� r�--rob-�r' 3`1 s .`I�m�o N�°�i �. �✓�
<br /> BUILDING S1ZE �� � SQ FOOTAGE[�_� HEIGHT C_____�
<br /> �g���"d��� $ i�� ��(j), b�7� VALUATION OF TOTAL CONSTRUCTION
<br /> �ELECTRlCR� ri � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
<br /> L
<br /> OPLt1MBING ��
<br /> OMECNAN(CAZ $ VALUATtON OF MECHANICA�(NSTALLATION � { � � �
<br /> 1
<br /> OGAS Q RODFING Q SPECIA�TY � OTHER
<br /> FINISHED FLOQR ELEVATIONS �y� FLOOD ZONE AREA �YES NO
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# � ^u �
<br /> ELECTRtCIAN COMPANY
<br /> SIGNATURE ,,, ,, _ REGISTERED Y 1 N FEE CURRE� Y/N
<br /> Address License# � �
<br /> PLUMBER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# �� —�
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# �� �
<br /> .... ..
<br /> OTHER COMPANY �'ti�{m� `��-'�"��� ( l�� -
<br /> SIGNATURE REGISTERED N FEE CURRE� /N
<br /> Address J���t3 5� -fjt(� �h rii�ttg� �Z, 3�5�f) License# c..C'G l�Z ,�"„�'51�'j �
<br /> RE3lDEIVTIAI. Attach{2}Ptot Plans;{2)sets of Building Piens;(1}set of Energy Forms;R-O-W Permit for new construction,
<br /> Minimum ten(10)worlcing days after submittal date._Required.onsita,_Constructian-P-lans,-Stormwater-Plar,s-w/-SIlt�enca-ins,a!lEd; --- - �-- -
<br /> Sanitary Facilities&1 dumpstsr,Site Work Permi#far subdivisionsllarge prajects
<br /> COMMERCIAL AtEach(3)complete sets of Building Plans plus a Life Safeky Page;(1)set of Energy Forms.R-O-W Permit for new conskruction.
<br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanftary Facitlties&4 dumpster.Site Work Permi#for alt new projects.At!cammerciat requirements must mee#comptiance
<br /> SIGN PERMIT Attach(2}sets of Engineered Plans.
<br /> ""PROPERTY SURVEY required for all NEW construction.
<br /> Directians:
<br /> Fill out application completely.
<br /> {?wner&Gontractor sign back of application,notarized
<br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
<br /> " Ager�t(for the contractor}or Power of Attomey{for the owner}would be someone with notarized letter frqm awner authorizing same
<br /> OVER 7HE COUNTER PERMITTING (Front of Application Only)
<br /> Reroofs if shingles Sewers Seroice Upgrades A(C :., Fences{PIoUSurveytPootage} �.__< _ �_, ,
<br /> ��:.�„,�z,.
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<br /> , Driveways-Not over Counter if on public roadways.,needs:ROW , . �
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<br /> , , ; , -- - �,,..�.�.9.a-�•,,.,..,�; . � �� �
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